Blood flow velocity waveform in the common carotid artery and its analysis in elderly subjects.

Abstract

We investigated common carotid artery blood flow in 99 elderly nursing home residents using an ultrasonic quantitative blood flow measurement system. Systolic velocity and end-diastolic velocity were obtained from the waveform and classified, using the end-diastolic/systolic volume as Type A which is normal flow (greater than 20% bilaterally), Type B which is unilateral decreased flow (less than 20% unilaterally), Type C which is bilateral decreased flow (less than 20% bilaterally), Type D which is Type C plus a saw tooth pattern and Type E which is no diastolic pattern, i.e. a value of 0 unilaterally or bilaterally. Five per cent of subjects showed Type A of blood flow velocity waveform (normal flow pattern) and about 40% showed Type E (no diastolic pattern). The subjects were divided into three groups according to blood flow velocity waveform. Groups 1, 2 and 3 showed Types A or B, C or D, and E, respectively. The total blood flow volume and mean blood flow velocity of Group 1 were significantly higher than those of Groups 2 and 3 in both the supine and sitting positions. Although both total blood flow volume and mean blood flow velocity of Group 1 decreased significantly in postural change, those of Groups 2 and 3 did not change. These results suggest that total blood flow volume and mean blood flow velocity decrease in proportion to changes in the blood flow velocity waveform.